Last week got crazy and we missed 2 days of getting her eggs cooked in the chicken stock (we usually do 2 eggs separated and cook only the whites in about 1/2 cup of stock and then give her the yolks and whites and stock all together around noon and then again around 9 or 10 pm. We only missed the noon eggs and now we have lesions 10 days later!
It seems like such a puzzle of pieces with each one evidently quite important!
It’s amazing what a difference a week can make!! Her lesions came back so abruptly this time–it was quite scary! Seems they are leaving just as quickly! Started her back on a whole piece of Ezekiel bread, giving it twice a day PLUS quinoa (about 1/3 cup twice a day). Also started her back on antibiotics on Monday. Her right rear paw is no longer weepy and the lesions on the back of her legs are pretty much gone! Yaaaaay!!!!
Dr. Johnson drew labs today and mentioned 2 different supplements: one for skin and one for diabetes:
Alpha lipoic acid is useful for diabetes Alpha lipoic acid from webmd
black currant seed benefits from total health mag
So, the night before last we were giving Zoe her insulin and realized that the lesions on her lips had returned (we had noticed that she was rubbing this area along the sofa for the last couple of days)
I have been reviewing what I had changed. Ezekiel bread, for one–when she was so sick and wouldn’t eat, she would eat it and got about 4-5 pieces per day. Over the last several weeks, I’ve cut that back to about a piece a day, divided into her meals, as I use it as a vehicle to get her k bromide and poly-vi-sol into her meals. (Had the bright idea that she needed more protein and less carbs to help control her diabetes, so I cut her back from a piece of bread with each meal to a half of a piece—and sometimes it was only a quarter of a piece!)
I started yesterday increasing her bread back to at least 2 pieces a day. Also, started researching other foods that are high in amino acids–turns out quinoa is both high in amino acids and has a fairly low glycemic index. (Needed, since she also has diabetes!). I’m going to try the dietary things first to see if it makes a difference, since our history has had success with controlling it with diet! Here goes!!
definition and etiology of hepatocutaneous syndrome
Here is tonight’s attempt at chicken stock. Zoe has a couple of lesions on her rear feet and I need some GOOOOOD stock!!! Found some recipes on line:
I’m trying a new vehicle to deliver said stock!…..a pressure cooker…..many thanks to my friend and client, Tiffany Davis for her counseling about my techniques of making stock. She rocks in the kitchen (doesn’t hurt that she works at Cooking Light, so she’s a wealth of knowledge!)
Just put just over 2 quarts of water with 2.7 lbs of chicken feet, (purchased from an Asian market) put the lid on and here we go!
Soooo, FANTASTIC success!!! This is the best stock I’ve EVER made!!!! It’s so firm, it looks like its frozen! Zoe is in the background just waiting for her breakfast!!
I give Zoe about 2 cups of chicken per day–1 cup in the am and 1 cup in the pm with veggies (I use about a cup of green beans, sweet potatoes–both of those cooked PLUS beets and carrots chopped up raw–all mixed together to make 1 cup, so I give her 2 cups of food total twice a day). I pour about 1/3-1/2 cup of chicken stock over the mixture and mix it all up, otherwise she wouldn’t eat all the veggies. (I do heat the stock up in the microwave before I pour it over the food, just to bring out the flavor). I also add about a tablespoon each of cottage cheese sour cream to help curb any yeast infections.
In addition to that I give her 2 egg yolks twice a day. Since the disease is a deficiency of amino acids and amino acids are the building blocks of protein, I do try to supplement the amount of protein. (She eats 4 egg yolks a day raw 2 in the am and 2 in the pm–separate from her meal and I cook about 1 egg white in the chicken stock with each yolk). This is how I prepare them:
I pour about 1/3-1/2 cup of chicken stock in a cup, then separate the egg yolks out in a bowl and put the whites in the cup with the stock and microwave it for about 1 minute 45 seconds to cook the egg whites. (Raw egg whites contain a protein called avidin, which can deplete biotin, one of the B vitamins. Biotin is need for dog’s growth, skin and coat health. The lack of it can cause hair loss, weakness, or skeleton deformity.).
Zoe gets the cooked egg white, stock mixture poured over the yolks and she LOVES it!
(hank the weim gets the other cooked egg white)
She gets a total of 4 Procell capsules a day (I give those separate from her meal–2 in the am and 2 in the pm)
The Omega 3’s that I give are the free form snip tips.
Free Form Snip Tips
These are all the things I can think of to share with you about our regime with Zoe.
She weighs about 57 lbs, so you’ll need to adjust accordingly!
So, now that I’ve started the blog….I’ve found a few others whose dogs were diagnosed AND we’ve compared our stories and findings….
Zoe’s symptoms actually waxes and wanes…it actually corresponds with how “gelled” the stock actually is!
My amazement is this…2 others have dogs with hepatocutaneous syndrome have experienced the same issue with symptoms…if they continue to feed their dogs the more “dense” stock, the symptoms actually subside and when the stock is more “loose”, the symptoms may come back!!!
the article by Dr. Ray Peat
So, confession here: I feel like I’ve either REALLY accomplished something if my stock congeals OR i feel like I’m the biggest loser, if its just so-so!! I have happened on the following recipe using the crock pot: (btw, I’m feelin’ pretty good right now!)
About 6 chicken thigh/leg quarters with back meat, placed in crock pot and fill with water to about an inch from the top (usually not enough water to completely cover the chicken, just ’cause there isn’t enough room in the crock pot). I cook it on low for about 6-8 hours and let the meat pretty much just fall off the bones, set it aside for her meals and then put the liquid that’s left in the crock pot (as well as the bones) in the fridge to cool overnight–I just keep it in the crockery part and place a towel down on the fridge shelf, so the hot crock on the cold shelf doesn’t cause a “disastrous outcome”
I then warm it slowly the next day in the crockpot until it can be turned on low again and let it heat up (1st on warm, then changing to low) for about 1-3 hours–I’ve even poured up the liquid, straining out the bones except for enough liquid to cover the bones and cooked them an additional 3-4 hours and wow!! I got stand-up-on-its-own stock!! The photo really doesn’t do it justice!!
I’ve just recreated my recipe again and I wonder if cooling the stock in the fridge in the crock pot allows for the bones to leach out more collagen than when it’s not cooled in the process???? I seem to be getting great stock with the current technique, so I hope it continues!!
Stock in made of collagen, which is made up of amino acids, which are the “building blocks” of protein! Just what the Zoe-bird needs!!
June 1, 2013
The last couple of batches of chicken stock didn’t actually “gel”. I didn’t really think that much of it, I just gave her more, as I considered it just more dilute than what I was making before. During that 2 week period I also backed off the amount of food I was giving her, as she gaining a bit more weight (I don’t need an obese dog with paw lesions!!) weeeelll, you can imagine where I’m going…..lip lesions came back…just a little, because we are rubbing on her (every day) to make sure there is nothing there, we found them with our fingers before they were visible!
So, we went back up on the protein: in this case, chicken! Also realized that both carrots and beets have amino acids in them–she already gets them as part of her diet, but had no idea they contained some of the amino acids that Zoe SO needs!
I also started looking for recipes to make better chicken stock and remembered that I had had success with leg/thigh quarters with back meat. Got that cooked up in the crockpot right away, just put the chicken quarters in the crockpot, covered with water and pulled the meat off after cooking on low about 6-8 hours and let the bones cook in the broth another 6-12 hours. At this point, it’s not scientific with the cooking times, but apparently, those “little bones” they make up the spine are REALLY important, ’cause when I strained the golden liquid off into glass jars and let in cool in the fridge at least 6 hours, it made great gelatin (the exact consistency as Jello!). I just let the fat rise to the top and scoop that off and I’m left with the golden goodness of the chicken stock!! I just warm it in the microwave and pour it over her food. (She also gets her eggs–2 of them twice a day with the egg whites cooked in the gelatin in the microwave). I use about 1/3 a cup of gelatin and separate the eggs, cooking the whites 1 minute and 25 seconds in the gelatin–make sure you cover the container or you’ll get the opportunity to clean your microwave afterward!
Zoe’s lip lesions are gone again and this time, NO paw involvement!